Utilization Management Director leads and directs the utilization review staff and function for a healthcare facility. Determines policies and procedures that incorporate best practices and ensure effective utilization reviews. Being a Utilization Management Director manages and monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. Provides analysis and reports of significant utilization trends, patterns, and impacts to resources. Additionally, Utilization Management Director consults with physicians and other professionals to develop improved utilization of effective and appropriate services. Requires a master's degree. Typically reports to top management. Typically requires Registered Nurse(RN). The Utilization Management Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Utilization Management Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
A new opportunity for a Director of Surgical Services has just become available with a reputable hospital in beautiful, San Luis Obsipo!
This career opportunity is with a distinguished, 150 patient bed facility that stands as a cornerstone of healthcare excellence within the community. This medical center is part of a larger, nationwide healthcare system that is committed to internal growth and professional developmen. This medical center has been providing top-tier patient care to their community for over 60 years and has been recognized for their excellence in orthopedics, cancer care, and accreditation as a primary stroke center by The Joint Commission.
This traditional, acute-care medical center is looking for a visionary Director of Surgical Services to oversee all facets of perioperative care, including Sterile Processing, Post Anesthesia Care Unit, and seven state-of-the-art operating rooms. Reporting directly to the Chief Nursing Officer, the Director will collaborate with OR Charge Nurses and the Operating Room Manager to ensure the delivery of safe patient care and foster staff development. Responsibilities encompass policy development, budget management, quality control, personnel development, and Continuous Quality Improvement initiatives.
Qualifications in the role of Director of Surgical Services include a valid and unrestricted RN License, demonstrate prior leadership experience in perioperative services, and hold BLS certification.
The location of this rare job opportunity offers a unique blend of natural beauty, cultural richness, and a vibrant community atmosphere. Nestled in the heart of California's Central Coast, residents enjoy easy access to pristine beaches, picturesque hiking trails, and renowned wineries. Boasting a mild Mediterranean climate and a diverse array of dining and entertainment options, San Luis Obispo provides an unparalleled quality of life for individuals and families alike.
If you are a dynamic nursing leader ready to make a significant impact in surgical services while embracing the charm of San Luis Obispo, please apply today!
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0 Utilization Management Director jobs found in Santa Maria, CA area